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8 Cards in this Set

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Lidocaine:

Class
Ventricular Antiarrhythmic
Lidocaine:

Route:
IV push (no faster than 50mg/minute in conscious patients
Lidocaine:

Initial dose
Adult ventricular fibrillation or pulseless v-tach - 1.5 mg/kg

Unstable ventricular tachycardia - 1.5mg/kg

Non-sustained ventricular tachycardia or treatable PVC's 1mg/kg

Repeat bolus - .5mg/kg

Note: maximum total dose is 3 mg/kg

Pedi: 1mg/kg
Lidocaine:

Drug Action
Suppresses ventricular ectopy
Lidocaine:

Indications`
Ventricular rhythms of irritability; PVC's or runs of V-Tach, V-fib.

Note: We (biotel) give lidocaine (1.5 mg/kg) only in traume OR if the patient converts with only a shock before any other drugs are given.

Prophylaxis: To prevent recurrence of V-fib or V-tach after initial defibrillation or cardioversion converts these rhythms
Lidocaine:

Precautions
Consider reduced dosage in patients over 65 or thosee with a hx of liver disease or CHF.

Notify physician if pt has "caine" allergy.

Lidocaine has a short half-life (20 minutes) and must be followed by a maintenance Lidocaine IV PB drip if it successfully converts the ventricular arrhythmia.

Continually monitor ECG, BP and LOC.

If Bradycardia is present with PVC's or runs of V-tach, treat Brady first.
Lidocaine:

Side effects
Toxicity (early): Drowsy, light-headedness, blurred vision.

Toxicity (late): Hypotension, change in level of consciousness, seazures.
Lidocaine:

Contraindications
Life-sustaining ventricular excapt rhythms associated with bradycardia or 2 or 3 degree heart blocks.